AMY LOUISE BERGEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041134840

License Status

INACTIVE

Business

First Name

AMY LOUISE

Last Name

BERGEN

Business Name

AMY LOUISE BERGEN

Original Issue Date

04/18/1970

Effective Date

04/18/1970

Expiration Date

05/31/1988

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006